Journal articles: 'Pain in old age'

1

Roy, Ranjan. "Old Age, Pain, and Loss." Topics in Geriatric Rehabilitation 16, no. 3 (March 2001): 66–76. http://dx.doi.org/10.1097/00013614-200103000-00009.

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Hardy, Paul AJ. "Pain management in old age." Reviews in Clinical Gerontology 5, no. 3 (August 1995): 259–73. http://dx.doi.org/10.1017/s0959259800004317.

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Scott, Robert B. "Chronic Pain in Old Age." Clinical Journal of Pain 11, no. 3 (September 1995): 248. http://dx.doi.org/10.1097/00002508-199509000-00016.

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Schiller, D., M. Gschwendtner, and R. Schofl. "Does old age cause abdominal pain?" Gut 58, no. 4 (March 18, 2009): 500. http://dx.doi.org/10.1136/gut.2008.166975.

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Sutherland, Stephani. "Endocannabinoids mediate age-old pain suppression." Drug Discovery Today 10, no. 18 (September 2005): 1209–10. http://dx.doi.org/10.1016/s1359-6446(05)03602-0.

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Brattberg, Gunilla, Marti G. Parker, and Mats Thorslund. "A Longitudinal Study of Pain: Reported Pain from Middle Age to Old Age." Clinical Journal of Pain 13, no. 2 (June 1997): 144–49. http://dx.doi.org/10.1097/00002508-199706000-00008.

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Hardy, Paul A. J. "Pain management in old age: an update." Reviews in Clinical Gerontology 10, no. 4 (November 2000): 341–47. http://dx.doi.org/10.1017/s0959259800010443.

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A previous review dealt with the management of chronic pain in old age and attempted to provide an up-to-date account of management at that time. The present review will try to avoid going over the same ground but will discuss more recent developments in pain medicine, with an emphasis on those aspects relevant to the management of older patients.

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Balfour, Andrew. "The couple in old age." Psychoanalysis and Psychotherapy in China 5, no. 1 (June 20, 2022): 80–92. http://dx.doi.org/10.33212/ppc.v5n1.2022.80.

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With longer life, many people reach ages that were rarely achieved even a generation ago. But psychology and psychoanalysis have not fully engaged with the travails of old age. This article describes the difficulties many couples and individuals have facing the loss of physical and mental health in old age. By examining three clinical cases, it explores the difficulties couples have facing their inevitable losses, the particular difficulties for a couple when one partner has dementia, and the pain of an elderly patient facing the inevitability of her own death whilst full of regret for a compromised marriage and loss of opportunities in her life. The article describes how psychotherapy for couples and individuals lessens the sense of being alone and inscribes a sense of "being accompanied" externally and internally that soothes the pain of loss.

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Jones, R. M. "Anaesthesia in old age." Anaesthesia 44, no. 5 (May 1989): 377–78. http://dx.doi.org/10.1111/j.1365-2044.1989.tb11329.x.

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Craddock, Anita. "Old Age is New." Journal of Vascular Access Devices 6, no. 1 (January 2001): 1–12. http://dx.doi.org/10.1016/s1083-0081(01)70641-3.

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Alvarado García, Alejandra María, and Ángela María Salazar Maya. "Learning to live with chronic pain in old age." Salud Uninorte 34, no. 2 (February 15, 2019): 349–62. http://dx.doi.org/10.14482/sun.34.2.618.97.

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de C. Williams, Amanda C. "Chronic pain in old age: An integrated biopsychosocial perspective." Journal of Psychosomatic Research 39, no. 8 (November 1995): 1049–50. http://dx.doi.org/10.1016/0022-3999(95)90055-1.

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Mitchell, Sarah J., Sarah N. Hilmer, and Andrew J. McLachlan. "Clinical pharmacology of analgesics in old age and frailty." Reviews in Clinical Gerontology 19, no. 2 (May 2009): 103–18. http://dx.doi.org/10.1017/s0959259809990232.

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SummaryThere is a high prevalence of pain in older people. Optimal assessment and management of pain in this population is challenging. The pharmacokinetics and pharmacodynamics of analgesic medications are affected by ageing and frailty, as well as by intercurrent medical conditions and their treatments. This review describes what is currently understood about the impacts of old age and frailty on the clinical pharmacology of commonly used analgesics, to provide a rational basis for the use of these medicines. In view of the wide age-related inter-individual variability in pharmacokinetics and pharmacodynamics of analgesic medications, monitoring of clinical response and adverse effects is essential to optimize pain control in older people.

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Hartvigsen, Jan, Kaare Christensen, Henrik Frederiksen, and Hans Christian Pedersen. "Genetic and Environmental Contributions to Back Pain in Old Age." Spine 29, no. 8 (April 2004): 897–901. http://dx.doi.org/10.1097/00007632-200404150-00015.

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Lo, Raymond SK, and Jean Woo. "Palliative care in old age." Reviews in Clinical Gerontology 11, no. 2 (May 2001): 149–57. http://dx.doi.org/10.1017/s095925980101125x.

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What is palliative medicine?In 1987, the Royal College of Physicians recognized palliative medicine as a specialty, defining it as ‘the study and management of patients with far-advanced disease for whom the prognosis is limited and the focus of care is quality of life’. In 1990, the World Health Organization added its definition, ‘the active and total care of a person whose condition is not responsive to curative therapy’. The aim of palliative medicine is to control pain and other physical symptoms, together with integration of psychological, social, spiritual care and support. The ultimate goal is to help patients to achieve their best quality of life. Palliative medicine places emphasis on a holistic approach, offering care and support not just for patients but also for their families. Palliative medicine hence requires an interdisciplinary team approach. With the co-ordinated efforts of all disciplines (such as doctors, nurses, therapists, social workers, clinical psychologists, dieticians, pastoral care workers and volunteers), patients can be supported in living their remaining lives as actively as possible, and families can be assisted in coping with illness, death and bereavement. Palliative care neither intends to postpone death nor does so, but affirms life and regards dying as a normal process. When a patient faces an incurable illness, it is incumbent on the palliative care team to provide the best treatment and care, adding life to days when days cannot be added to life.

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Gagliese, Lucy. "Book Review: Chronic Pain in Old Age: An Integrated Biopsychosocial Perspective." Canadian Journal of Psychiatry 40, no. 10 (December 1995): 632–33. http://dx.doi.org/10.1177/070674379504001013.

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García-Esquinas, Esther, Isabel Rodríguez-Sánchez, Rosario Ortolá, Esther Lopez-Garcia, Francisco Félix Caballero, Leocadio Rodríguez-Mañas, José R. Banegas, and Fernando Rodríguez-Artalejo. "Gender Differences in Pain Risk in Old Age: Magnitude and Contributors." Mayo Clinic Proceedings 94, no. 9 (September 2019): 1707–17. http://dx.doi.org/10.1016/j.mayocp.2019.03.034.

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Hartvigsen, Jan, Hans Christian Pedersen, Henrik Frederiksen, and Kaare Christensen. "Small Effect of Genetic Factors on Neck Pain in Old Age." Spine 30, no. 2 (January 2005): 206–8. http://dx.doi.org/10.1097/01.brs.0000150481.84048.08.

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Duke Han, S., Aron S. Buchman, Konstantinos Arfanakis, Debra A. Fleischman, and David A. Bennett. "Functional connectivity networks associated with chronic musculoskeletal pain in old age." International Journal of Geriatric Psychiatry 28, no. 8 (November 5, 2012): 858–67. http://dx.doi.org/10.1002/gps.3898.

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Kang, H., H. J. Park, J. Choi, and J. W. Lee. "Comparison of the hemodynamic changes between old age and very old age(≥85) in the cemented bipolar hemiarthroplasty under spinal anesthesia." European Journal of Anaesthesiology 31 (June 2014): 261. http://dx.doi.org/10.1097/00003643-201406001-00754.

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21

Bradley, Natalie. "Too old to sedate: How old is too old?" Dental Update 48, no. 2 (February 2, 2021): 106–13. http://dx.doi.org/10.12968/denu.2021.48.2.106.

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The UK population is ageing with over a quarter of people predicted to be over 65 by 2040. People are retaining their teeth into old age, often having experienced complex restorative dental work over the years. The increasing complexity of dental treatment that older people require will create challenges for those who provide care for this population, including dental treatment under sedation or general anaesthesia. This article discusses the medical, dental and social considerations that need to be taken into account when planning dental care for older patients under sedation or general anaesthesia. CPD/Clinical Relevance: Dentists who provide sedation must be able to appropriately assess and manage their older patients safely if considering this method of pain and anxiety control for dental treatment.

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Telegan, V. O., and D. A. Shkurupiy. "CLINICAL CHARACTERISTICS OF POSTOPERATIVE ANALGESIA IN ELDERLY AND OLD PATIENTS." Актуальні проблеми сучасної медицини: Вісник Української медичної стоматологічної академії 19, no. 2 (July 19, 2019): 78–82. http://dx.doi.org/10.31718/2077-1096.19.2.78.

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Nearly 13% of the elderly and old population experience psychosomatic pain that is not regarded as a response to irritants. Diagnosis and treatment of the postoperative pain in old and elderly patients may be complicated by chronic pain or somatic diseases. The aim of this work was to study clinical characteristics of the postoperative pain in old and elderly patients. Materials and methods. This study based on analysis of 99 cases of the perioperative period. Patients were divided into groups by age: the 1st group included individuals aged 18-59 years, the 2nd group included individuals over 60 years. The influence of age, type of anesthesia and postoperative analgesia on the character and severity of pain was determined by questioning and clinical comparison. The Visual Analogue Scale and the McGill questionnaire were used to assess the pain intensity. Results and their discussion: the elderly patients demonstrated higher scores of the affective component to surgical intervention; moreover, the direct relationship between the affective and evaluative components and the indirect correlation of the sensitive component of pain with age was found out. There have been established the significant direct links between postoperative pain and its components in elderly people with the level of pain before surgery, intrathecal anaesthesia, and vascular surgery. Conclusions: in the elderly, in contrast to the younger individuals, the level of postoperative pain is more pronounced. The initial level of pre-operative pain in these patients definitely influences the level of postoperative pain. Simultaneously, the postoperative pain in the elderly is due to the greater lability of all the components of pain, with the prevalence of affective and evaluative components. The persistence of pain in the postoperative period is typical for elderly people who underwent vascular interventions and intrathecal anaesthesia. In the context of the conventional tactics of postoperative pain relief in the elderly people, the strength and the characteristics of the pain are more significantly intense relatively to those in younger patients that require an improvement in the tactics of pain management.

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Ravakhah, Keyvan. "Nobody Dies of Old Age Any More?" Journal of Palliative Medicine 14, no. 4 (April 2011): 386. http://dx.doi.org/10.1089/jpm.2010.0469.

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Noroozian, Maryam, Shima Raeesi, Rezvan Hashemi, Leila Khedmat, and Zahra Vahabi. "Pain: The Neglect Issue in Old People's Life." Open Access Macedonian Journal of Medical Sciences 6, no. 9 (September 20, 2018): 1773–78. http://dx.doi.org/10.3889/oamjms.2018.335.

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BACKGROUND: As the elderly population increases dramatically, the chronic age-related disease should be noted. In the elderly, chronic pain is a common health problem. METHODS: This search was performed in 3 databases (PubMed, Google Scholar, Embase). We have reviewed articles related to pain management in the elderly. RESULT: The prevalence of pain in people aged above 60 is twice that in younger people. Pain is estimated to be 45-85 per cent in the elderly. Pain is not a part of the ageing process, but many older people can experience it. Perception of pain can be affected by environmental, emotional, cultural and cognitive factors. Pain in the elderly often remains untreated and misdiagnosed. CONCLUSION: Pain management in elderly needs different approach because of unreported pain in this population, and usually they have multiple problems and comorbidities that complicate evaluation and treatment.

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Yeung, Simon S. "Low Back Pain among Personal Care Workers in an Old Age Home." AAOHN Journal 59, no. 8 (August 2011): 345–53. http://dx.doi.org/10.1177/216507991105900803.

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Peat, George, Elaine Thomas, Ross Wilkie, and Peter Croft. "Multiple joint pain and lower extremity disability in middle and old age." Disability and Rehabilitation 28, no. 24 (January 2006): 1543–49. http://dx.doi.org/10.1080/09638280600646250.

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Sandhu, Satpal S., and Jasleen Sandhu. "Orthodontic pain: an interaction between age and sex in early and middle adolescence." Angle Orthodontist 83, no. 6 (May 24, 2013): 966–72. http://dx.doi.org/10.2319/030113-174.1.

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ABSTRACT Objective: To investigate the age and sex interaction effect on orthodontic pain in adolescence during the initial phase of fixed orthodontic treatment. Materials and Methods: Three hundred participants (mean age 13.85 ± 1.98 years; 152 female, 148 male) met all inclusion criteria and enrolled in the study designed as 2 × 2 factorial trial with two levels each for age (11–14 years; 14–17 years) and sex (male; female). A 0.16-inch superelastic NiTi wire was used in a 0.022-inch slot (Roth's prescription) preadjusted edgewise appliance for initial leveling and alignment of mandibular anterior dentition. The follow-up period was 7 days. Pain was assessed by using 100 mm visual analog scale for one baseline and nine follow-up repeated measurements at prespecified time points. Data were analyzed by using generalized linear mixed effect model analysis. Results: Three participants were lost to follow-up, and 17 participants were not considered for analysis due to incomplete or improperly completed questionnaire. Therefore, 280 participants (mean age 13.96 ± 2.01 years; 138 female, 142 male) were analyzed for results. Results showed that age and sex interaction had statistically significant effect on pain (F = 3.56; P = .0151; df 3/218). In the 11–14 year age group, there was no significant difference for pain between male and female. In the 14–17 year age group, girls reported significantly greater pain compared to 14- to 17 year-old boys (t = 2.76; P = .0209). Pain reported by 14- to 17-year-old girls was also significantly greater compared to 11- to 14-year-old boys (t = 2.91; P = .0206). Conclusions: Age and sex interaction has significant effect on orthodontic pain during adolescence, and 14- to 17-year-old girls experienced maximum pain.

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Ferreira, Christiana, Isabel Rezende, Arminda Guilherme, and Inês Lopes. "Allergen-specific subcutaneous immunotherapy–pain evaluation in pediatric age." Allergologia et Immunopathologia 49, no. 1 (January 2, 2021): 58–61. http://dx.doi.org/10.15586/aei.v49i1.17.

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Background: Allergen-specific immunotherapy is a potentially disease-modifying therapy that is effective for the treatment of patients with allergic diseases. Although the pain caused by the administration of subcutaneous immunotherapy with allergens (SCITA) is considered to be minimal, no studies assessing that pain for the treatment of only pediatric patients have been reported. Objectives: This research aimed to evaluate the pain associated with SCITA for pediatric patients followed at our Immunoallergology Department. Methods: During four consecutive weeks, the nurse who administered the injection completed a questionnaire recording the child’s assessment of the pain associated with SCITA; these questionnaires were randomized before any analyses were done. Two different pain evaluation scales were used, with the choice of scale being determined based on the child’s age: the self-reporting faces scale (score: 0–10; 5 to 8 years old) and the numeric scale (score: 0–10; >8 years old). Demographic and clinical data, as well as any adverse reactions, were documented. Results: We included 46 pediatric patients (mean age: 12.3 ± 2.6 years; 69.5% male), most of whom were suffering from rhinitis/rhinoconjunctivitis and undergoing subcutaneous immunotherapy with mites. Seven local adverse reactions were recorded, and all were mild. Ten patients did not mention any pain associated with SCITA. Of the 36 patients who mentioned some pain, 33 mentioned mild pain (scores between 1 and 3); only three mentioned moderate pain (scores between 4 and 6). For both scales, the median score obtained was 1. The maximum pain reported had a score of 6. No significant differences were observed between different groups of patients. Conclusions: In this study, SCITA was shown to be a mildly painful procedure that is associated with only a few local reactions. Therefore, SCITA should be considered as a safe option for the treatment of most pediatric patients suffering from allergies.

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Ferreira, Christiana, Isabel Rezende, Arminda Guilherme, and Inês Lopes. "Allergen-specific subcutaneous immunotherapy–pain evaluation in pediatric age." Allergologia et Immunopathologia 49, no. 1 (January 2, 2021): 58–61. http://dx.doi.org/10.15586/aei.v49i1.17.

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Background: Allergen-specific immunotherapy is a potentially disease-modifying therapy that is effective for the treatment of patients with allergic diseases. Although the pain caused by the administration of subcutaneous immunotherapy with allergens (SCITA) is considered to be minimal, no studies assessing that pain for the treatment of only pediatric patients have been reported. Objectives: This research aimed to evaluate the pain associated with SCITA for pediatric patients followed at our Immunoallergology Department. Methods: During four consecutive weeks, the nurse who administered the injection completed a questionnaire recording the child’s assessment of the pain associated with SCITA; these questionnaires were randomized before any analyses were done. Two different pain evaluation scales were used, with the choice of scale being determined based on the child’s age: the self-reporting faces scale (score: 0–10; 5 to 8 years old) and the numeric scale (score: 0–10; >8 years old). Demographic and clinical data, as well as any adverse reactions, were documented. Results: We included 46 pediatric patients (mean age: 12.3 ± 2.6 years; 69.5% male), most of whom were suffering from rhinitis/rhinoconjunctivitis and undergoing subcutaneous immunotherapy with mites. Seven local adverse reactions were recorded, and all were mild. Ten patients did not mention any pain associated with SCITA. Of the 36 patients who mentioned some pain, 33 mentioned mild pain (scores between 1 and 3); only three mentioned moderate pain (scores between 4 and 6). For both scales, the median score obtained was 1. The maximum pain reported had a score of 6. No significant differences were observed between different groups of patients. Conclusions: In this study, SCITA was shown to be a mildly painful procedure that is associated with only a few local reactions. Therefore, SCITA should be considered as a safe option for the treatment of most pediatric patients suffering from allergies.

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Telegan, Vladyslav O., Christos Tsagkaris, Sandeep Kumar Singh, and Kostiantyn V. Tarasenko. "Subjective Assessments and Serum Cortisol Levels as Risk Factors of Pain Persistence in the Late Postoperative Period in Old and Oldest-Old Patients." European Journal of Investigation in Health, Psychology and Education 13, no. 2 (February 15, 2023): 450–59. http://dx.doi.org/10.3390/ejihpe13020034.

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Postoperative pain is one of the most common postoperative complications, resulting in significant burdens and adverse outcomes among patients, notably the frailest ones. Predicting the likelihood of intense postoperative pain can help optimize a patient’s recovery. The aims of this study were to build a prognostic model of pain persistence in elderly and senile patients in the late postoperative period, based on clinical and laboratory parameters of the early postoperative period, and to evaluate the potential for the model’s application. The study included 201 male and female patients who had undergone surgery of any type from September 2019 to August 2020. The patients were divided into three groups: senile patients, elderly patients, and young patients (control group). All of the examined patients were measured for fasting cortisol on the mornings of the first and seventh days following surgery. A statistically significant increase in the probability of pain persistence in the late postoperative period with the increasing age of the patient was found. Age, pain severity scores on the seventh day after surgery, and cortisol concentration in the blood on the first day after surgery, are of prognostic value for the risk of persistence of postoperative-pain syndrome.

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Choi, Jun-Ho. "A 71-Year-Old Man with Chronic Epigastric Pain." Korean Journal of Medicine 98, no. 1 (February 1, 2023): 40–44. http://dx.doi.org/10.3904/kjm.2023.98.1.40.

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A 71-year-old man presented due to chronic epigastric pain. A computed tomography scan of the abdomen showed a lobulated multilocular cystic lesion in the pancreatic head. Considering the patient’s age and imaging findings, pancreaticoduodenectomy was performed. Pathological examination revealed an intraductal papillary mucinous neoplasm with high-grade dysplasia.

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Lee, Hong S., Kiwon Young, Tae-Hoon Park, and Hong Seop Lee. "Arthroscopic Microfracture for Osteochondral Lesions of the Talus in Old Age Patient." Foot & Ankle Orthopaedics 5, no. 4 (October 1, 2020): 2473011420S0031. http://dx.doi.org/10.1177/2473011420s00319.

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Category: Ankle; Arthroscopy Introduction/Purpose: The purpose of the present study was to evaluate the outcomes of arthroscopic microfracture for osteochondral lesions of the talus, in patients of older than 60 years old. Methods: Sixteen patients (16 ankles) with osteochondral lesions of the talus were treated by arthroscopic microfracture from October 2012 to June 2019. As two patients were lost to follow-up, Fourteen patients (14 ankles) participated in the study. There were 6 men (42.9%) and 8 women (57.1%) of average age 67.4years (range 60-77) at the time of surgery. Clinical outcome evaluations were performed using Foot and Ankle Outcome Score (FAOS) and patient’s satisfaction after surgery at a mean follow-up of 50.8 months. Results: Mean FAOS scores improved from SYMPTOM 68.2 points (range 39-86), PAIN 65.1 points (range 36-94), ADL 69.4 points (range 32-99), SPORTS 45.4 points (range 25-80), QOL 47.1 points (range 13-94) preoperatively to SYMPTOM 94.8 points (range 68-100), PAIN 91.1 points (range 48-100), ADL 93.3 points (range 59-100), SPORTS 71.8 points (range 30-100), QOL 79.8 points (range 25-100) at final follow up. Very satisfaction in 4 (29%), Satisfaction in 7 (50%), Fair in 2 (14%), Dissatisfaction in 1 (7%), and reason for dissatisfaction was persistent pain after surgery. Conclusion: Arthroscopic microfracture for osteochondral lesions of the talus is a safe and effective procedure for old age patient.

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Schweizer, Hügli, Koella, and Jeanneret. "Popliteal entrapment syndrome and age." Vasa 41, no. 4 (July 1, 2012): 262–68. http://dx.doi.org/10.1024/0301-1526/a000201.

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On the occasion of diagnosing a popliteal entrapment syndrome in a 59-year old man with no cardiovascular risk factors, who developed acute ischemic leg pain during long distance running, we give an overview on this entity with emphasis on patientsage. The different types of the popliteal artery compression syndrome are summarized. The diagnostic and therapeutic approaches are discussed. The most important clinical sign of a popliteal entrapment syndrome is the lack of atherosclerotic risk factors in patients with limited walking distance. Not only in young athletes but also in patients more than 50 years old the popliteal entrapment syndrome has to be taken into account.

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Lücke, Anna Jori, Cornelia Wrzus, Ute Kunzmann, Denis Gerstorf, Martin Katzorreck, Christiane Hoppmann, and Oliver Schilling. "BIDIRECTIONAL LINKS OF DAILY SLEEP QUALITY AND DURATION WITH PAIN AND SELF-RATED HEALTH IN OLD AGE." Innovation in Aging 6, Supplement_1 (November 1, 2022): 4–5. http://dx.doi.org/10.1093/geroni/igac059.012.

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Abstract Sleep and physical well-being (e.g., pain, self-rated health) are closely linked, but the temporal ordering, especially regarding day-to-day variations, is not well understood. Furthermore, sleep quality and duration are only moderately correlated and may differ in their association with physical wellbeing. Using data from 123 young-old (66-69 years, 47% women) and 47 old-old adults (84-90 years, 60% women) who rated sleep quality and duration as well as pain and self-rated health on seven consecutive days, we examined bidirectional links between sleep and physical well-being. Supporting our hypotheses, results showed that after longer and better than usual sleep, participants reported better self-rated health; only better sleep quality significantly predicted lower pain. In turn, both lower pain intensity and increased self-rated health predicted better subsequent sleep quality, but not duration. We discuss conceptual and practical implications of our findings.

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Lücke, Anna Jori, Oliver Schilling, and Scott Hofer. "BEHAVIORAL AND SOCIAL IMPACTS ON DAILY VARIABILITY IN HEALTH AND FUNCTIONING IN OLD AND VERY OLD AGE." Innovation in Aging 6, Supplement_1 (November 1, 2022): 4. http://dx.doi.org/10.1093/geroni/igac059.010.

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Abstract In recent years, research has shown that people experience substantial variability in domains such as cognition, health, or social interactions from day-to-day or even moment-to-moment. This variability carries relevant information above and beyond an individual’s mean levels of functioning, revealing, for instance, potential risk factors for healthy aging. Thus, aging research increasingly examined such variations in older adults’ daily lives, aiming to further the understanding of aging processes with insights into short- and long-term predictors of daily health and functioning. In this symposium, we introduce research using repeated daily life assessments from older participants to elucidate behavioral and social impacts on variations in working memory performance, pain and self-rated health, as well as social interaction quality. Luo et al. show that diverse daily activities were linked with higher working memory performance one the same day. Regarding long-term prediction, Schilling et al. found that patterns of alcohol consumption across two decades were only weakly predictive of subsequent short-term variability in daily working memory performance. Turning from cognitive functioning to health, Lücke et al. observed bidirectional links of variations in daily sleep quality with variations in daily pain and health perceptions across several days. Finally, Hülür et al. addressed the role of communication technologies for older persons’ social interactions and found that daily social interaction quality differs with the interaction modalities. Scott Hofer will discuss the implications of the presented findings for our understanding of variability in everyday functioning in old age, considering challenges and opportunities for future research in this field.

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Tuck, Claire M. "A 54-Year-Old Woman with Degenerative Back Pain." Acupuncture in Medicine 28, no. 1 (March 2010): 46–48. http://dx.doi.org/10.1136/aim.2009.000687.

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Back pain is a common symptom: up to 70% of UK adults experience this symptom by the age of 60 and most have moderate to severe pain. Back pain accounted for 12% of consultations to traditional acupuncturists in 2001 and is one of the most common reasons for consultation with an acupuncturist. This case report concerns a 54-year-old woman with metastatic breast cancer and degenerative lower back pain, which remained painful despite intensive pharmaceutical management and facet joint injection and was ultimately successfully managed with two 30 min acupuncture treatments 2 weeks apart, using eight points on the BL meridians. Acupuncture treatment using tender points was later trialled for neuropathic pain secondary to local recurrence in her mastectomy scar, however this was unsuccessful and inpatient hospice admission for further intensive pharmaceutical management was required.

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Peat, George, Elaine Thomas, June Handy, and Peter Croft. "Social networks and pain interference with daily activities in middle and old age." Pain 112, no. 3 (December 2004): 397–405. http://dx.doi.org/10.1016/j.pain.2004.09.029.

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Neupane, Subas, Clas-Håkan Nygård, K. C. Prakash, Mikaela B. von Bonsdorff, Monika E. von Bonsdorff, Jorma Seitsamo, Taina Rantanen, Juhani Ilmarinen, and Päivi Leino-Arjas. "Multisite musculoskeletal pain trajectories from midlife to old age: a 28-year follow-up of municipal employees." Occupational and Environmental Medicine 75, no. 12 (October 15, 2018): 863–70. http://dx.doi.org/10.1136/oemed-2018-105235.

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ObjectivesWe studied the developmental trajectories of multisite musculoskeletal pain (MSP) to learn whether pain in midlife persists to old age, and whether pain trajectories associate with midlife work or lifestyle exposures or retirement from work.MethodsMunicipal employees aged 44–58 years were studied in 1981 (n=6257) with follow-ups in 1985, 1992, 1997 and 2009. Pain in the neck, low back, and upper and lower limbs was assessed in each survey. Trajectories of the number (0–4) of pain sites were defined using growth mixture modelling (n=3093). Workload, lifestyle and morbidity were elicited by questionnaire and retirement from registries. Associations of baseline factors with pain trajectories were assessed by multinomial logistic regression. Cumulative hazard curves for retirement by trajectory group were calculated.ResultsThree trajectories of pain over 28 years emerged: low (25%), moderate (52%) and high-decreasing (23%). In the latter, the number of pain sites first decreased sharply, stabilising to a moderate level after most subjects had retired. The disability pension rate was highest in this trajectory, which associated with high baseline morbidity, particularly musculoskeletal disorder (OR 8.06; 95% CI 5.97 to 10.87). Also high biomechanical exposure (2.86;95% CI 2.16 to 3.78), high job demands (1.79; 95% CI 1.39 to 2.30), high job control (OR 0.70; 95% CI 0.54 to 0.90), body mass index (BMI) ≥25.0 kg/m2 (1.40; 95% CI 1.09 to 1.80) and low leisure-time physical activity (LTPA) (1.39; 95% CI 1.09 to 1.78) at baseline were associated with this trajectory. However, high LTPA and BMI in repeated surveys also associated with the high-decreasing trajectory.ConclusionMSP in midlife often persists to old age. However, high widespreadness of pain may decrease with retirement from work.

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Samygin, Sergey. "THE MEANING OF OLD AGE IN THE CONTEXT OF POSTMODERN SOCIETY." HUMANITIES OF THE SOUTH OF RUSSIA 11, no. 3 (July 29, 2022): 16–29. http://dx.doi.org/10.18522/2227-8656.2022.3.1.

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Petrikas, A. Zh, S. A. Letunovskaya, E. V. Chestnykh, D. V. Medvedev, E. P. Zin'kovskaya, I. O. Larichkin, and K. V. Kulikova. "The phenomenon of dental pulp sensitivity in the formation of permanent teeth." Endodontics Today 18, no. 4 (January 3, 2021): 14–19. http://dx.doi.org/10.36377/1683-2981-2020-18-4-14-19.

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Aim. То carry out a comparative assessment of the change in the pain threshold (in terms of electroodontometry), the X-ray width of the root canal in the apex area and the nature of the pain sensation of the central incisors in children aged 6.5-15 years.Materials and methods. We examined 280 teeth in 280 children from 6.5 to 15 years old (central incisors). Patients are divided by age into 5 groups: 1 - 6.5-7 years old; 2 - 7-8 years old; 3 - 9-10 years old; 4 - 11-12 years old; 5 - 13-15 years old. The patients underwent electroodontometry (EOM), to measure the sensitivity threshold of the studied tooth, the subjective sensations with EOM were assessed, and the width of the apical part of the root canal was determined, according to the data of intraoral sighting radiography.Results. The study studied the process of teething and formation of teeth in dynamics from 6.5 to 15 years in 5 age groups. Changes in electrodontometry (EOM) are significant from 140.38 цА (4.5 years) to 24.38 цА (15 years) - average data. The relationship between age and the width of the root canal in the area of the apex, which is also characterized by a gradual narrowing, has been traced. Pulp pain with EOM becomes clearer and more short-lived with age. The correlation between age and pain threshold is less pronounced (41%) than between age and apical canal width (72%). Conclusions. The main role in the sensitivity of the tooth is played by the A-delta and C nerve fibers of the pulp. The phenomenon of a decrease in the pain sensitivity threshold of permanent teeth during electrodontometry in the process of root formation due to the reaction of C-fibers was established.

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Алексеев, Vladimir Alekseev, Бойченко, Aleksandr Boychenko, Овсянников, Vikotor Ovsyannikov, Алексеева, and Natalya Alekseeva. "The activity of lysozyme while the formation of acute somatic pain in old rats." Vladikavkaz Medico-Biological Bulletin 20, no. 29 (November 1, 2014): 29–31. http://dx.doi.org/10.12737/11813.

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Experiments were conducted on white old non-linear rats. Acute somatic pain (4–5 degree of intensity) was simulated by electrocutaneous stimulation of the receptor zone of the root of the tail. The animals were decapitated and blood sampling was carried out to study the activity of lysozyme by nephelometric method after the acute somatic pain. Acute somatic pain activates system of lysozyme in 1 hour after painful irritation in old rats. Acute somatic pain has high values in 60 min. after acute somatic pain in old age rats.

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Kaur, Dilpreet, Lavanya Nandan, and Sibi Samual. "A COMPARATIVE STUDY TO ASSESS THE EFFECTIVENESS OF WARM WATER THERAPY VERSUS CONTRAST WATER THERAPY ON JOINTS PAIN AMONG ELDERLY PATIENT WITH ARTHRITIS IN SELECTED OLD AGE HOME AT DELHI NCR." International Journal of Advanced Research 10, no. 06 (June 30, 2022): 739–44. http://dx.doi.org/10.21474/ijar01/14944.

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A study was done to assess the effectiveness of warm water therapy versus contrast water therapy on joints pain among elderly patient with arthritis in selected old age home at Delhi NCR. Osteoarthritis (OA) is the most common form of arthritis, affecting nearly 30 million nation wide. A common complaint from patients is pain in the weight-bearing joints such as the hips, knees and spine as well as involvement in the finger joints.hence warm water therapy and contrast water therapy is the best method to treat arthritis. The aims of the study to assess the joint pain among elderly patient with arthritis in selected old age home at Delhi NCR. To evaluate the effectiveness of warm water therapy on joint pain among elderly patient with arthritis in selected old age home at Delhi NCR. To evaluate the effectiveness of contrast water therapy on joint pain among elderly patient with arthritis in selected old age home at Delhi NCR. To compare the effectiveness of warm water therapy versus contrast water therapy on joint pain among elderly patient with arthritis in selected old age home at Delhi NCR. To determine the association between joint pain after receiving warm water therapy with the selected demographic variable. To determine the association between joint pain after receiving contrast water therapy with the selected demographic variable. A quasi experimental- nonequivalent pretest posttest design was adopted and non probability Purposive sampling technique was used to collect the sample from 30 elderly patients with arthritis (15 for warm water therapy and 15 for contrast water therapy) at old age home. Both therapies were administered continuously for 10 days. The data was analyzed and interpreted as per objectives and the research hypothesis stated. Descriptive and inferential statistics were used for data analysis. The Results shows that there was significant difference between mean post test scores of elderly patient with arthritis in warm water therapy and contrast water therapy for joint pain score as obtained unpaired t value was higher than the tabulated value for df at 0.05 level of significance. The fishers exact test value showed that there was a significant association between post test score of elderly patient after receiving the warm water therapy and contrast water therapy with demographic variables as p value obtained is less then at 0.05 level of significance.

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van Dijk, Adam, Patricia A. McGrath, William Pickett, and Elizabeth G. VanDenKerkhof. "Pain Prevalence in Nine- to 13-Year-Old School Children." Pain Research and Management 11, no. 4 (2006): 234–40. http://dx.doi.org/10.1155/2006/835327.

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BACKGROUND: Despite significant progress in the epidemiology of chronic pain in adults, major gaps remain in our understanding of the epidemiology of chronic pain in children. In particular, the incidence, prevalence and sensory characteristics of many types of pain in Canadian children are unknown.OBJECTIVES: A study to obtain the lifetime and point prevalence of common acute pains, recurrent pain syndromes and chronic pains was conducted in a cohort of 495 school children, nine to 13 years of age, in eastern Ontario.METHODS: Children reported their pain experiences and described the intensity, affect and duration of the pains experienced over the previous month by completing the Pain Experience Interview –Short Form.RESULTS: The majority of children (96%) experienced some acute pain over the previous month, with headache (78%) being most frequently reported. Lifetime prevalence for certain acute pains differed significantly by sex (P<0.05). Fifty-seven per cent of children reported experiencing at least one recurrent pain, while 6% were identified as having had or currently having chronic pain.DISCUSSION: The prevalence of acute pain in this Canadian cohort is consistent with international estimates of acute pain experiences (ie, headache) and recurrent pain problems (ie, recurring headache, abdominal pain and growing pains). However, 6% of children reported chronic pain. The self-completed Pain Experience Interview – Short Form provides a feasible administration technique for obtaining population estimates of childhood pain, and for conducting longitudinal studies to identify risk and prognostic factors for chronic pain.

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Rabenstein, Andrew P., Khaled F. Salhab, Georgios Spentzouris, Vijayapraveena Paruchuri, George Hines, Anthony M. Vintzileos, and Scott L. Schubach. "Middle Aortic Syndrome in a Child-Bearing Age Patient." AORTA 07, no. 03 (June 2019): 087–89. http://dx.doi.org/10.1055/s-0039-1688933.

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AbstractWe report a rare case of a 30-year-old female who had a long-standing history of middle aortic syndrome that was being managed nonsurgically. She presented with hypertension and buttock pain with plans to become pregnant. She underwent an aortoiliac bypass.

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Caligor, Eve. "Hysteria: A contemporary approach to an age-old diagnosis." Journal of Pain and Symptom Management 7, no. 3 (April 1992): 183–84. http://dx.doi.org/10.1016/s0885-3924(06)80013-8.

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Dragioti, Elena, Björn Gerdle, Lars-Åke Levin, Lars Bernfort, and Huan-Ji Dong. "Association between Participation Activities, Pain Severity, and Psychological Distress in Old Age: A Population-Based Study of Swedish Older Adults." International Journal of Environmental Research and Public Health 18, no. 6 (March 10, 2021): 2795. http://dx.doi.org/10.3390/ijerph18062795.

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Although chronic pain is common in old age, previous studies on participation activities in old age seldom consider pain aspects and its related consequences. This study analyses associations between participation activities, pain severity, and psychological distress in an aging population of Swedish older adults (N = 6611). We examined older adults’ participation in five common leisure activities using the Multidimensional Pain Inventory (MPI), sociodemographic factors, pain severity, weight status, comorbidities, and pain-related psychological distress (anxiety, depression, insomnia severity, and pain catastrophising). We found that gender, body mass index (BMI) levels, and psychological distress factors significantly affected older adults’ participation in leisure activities. Pain severity and multimorbidity were not significantly associated with older adults’ participation in leisure activities nor with gender stratification in generalised linear regression models. The potentially modifiable factors, such as high levels of BMI and psychological distress, affected activity participation in men and women differently. Health professionals and social workers should consider gender and target potentially modifiable factors such as weight status and psychological distress to increase older adults’ participation in leisure activities.

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Nibhanipudi, Kumara, Akram Al-Husaini, Samrina Kahlon, and Richard K. Stone. "An Unusual Cause of Vomiting in an Infant of 3 Months of Age." Case Reports in Emergency Medicine 2012 (2012): 1–2. http://dx.doi.org/10.1155/2012/913481.

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Liu, Lixin, Jiang Zhu, Peter S. A. Glass, Peter R. Brink, Ira J. Rampil, and Mario J. Rebecchi. "Age-associated Changes in Cardiac Gene Expression after Preconditioning." Anesthesiology 111, no. 5 (November 1, 2009): 1052–64. http://dx.doi.org/10.1097/aln.0b013e3181bbcb2a.

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Background Cardiac protection afforded by ischemic preconditioning (IPC) and anesthetic preconditioning (APC) are significantly reduced in the senescent myocardium. The authors hypothesized that age would differentially modulate gene expression induced by IPC and APC in vivo. Methods Affymetrix RAT EXON ST 1.0 gene chips (Affymetrix, Santa Clara, CA) were used to explore the transcriptional response to IPC and APC in Fisher 344 male rats (young, 3-5 months, and old, 20-24 months, respectively). Both cohorts, young and old, were divided into three groups: (1) sham control, (2) IPC, and (3) APC. After a total of 90 min, the heart was removed, and the total RNA and protein were extracted. Results Thirty-one transcripts were increased in the young animals subjected to IPC, particularly transcriptional regulators (Atf3, Egr-1, Btg2, Egr2), cytokines (interleukin 6, CSF1, Myd88), chemokines (Cxcl10, Ccl2, Ccl7), regulators of growth and inflammation (Reg3g, Hamp), remodeling and cell adhesion migration (Cyr61, Tfpi2, Timp1), regulators of apoptosis/cell death (Birc3, Arntl, Hamp, Phlda1), and cell cycle control/DNA repairs (Rrad, Gadd45b, Gadd45g). In contrast, only one transcript increased (Atf3) in the old animals subjected to IPC. No changes in gene expression were found in the young or the old animals subjected to APC. Conclusions Early-phase IPC and APC induced different genomic responses. The absence of detectable changes associated with early-phase APC suggests a posttranscriptional or posttranslational mechanism. The absence of a genomic response in the senescent myocardium (except for IPC-induced Atf3) could underlie the failure of IPC to provide any cardiac protective benefit to older animals.

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Singh, S., A. N. Trivedi, and Vikrant Veer. "Chronic Pain as the Main Presenting Symptom of Depression Following Hysterectomy in Old Age." Australian and New Zealand Journal of Obstetrics and Gynaecology 39, no. 1 (February 1999): 127–30. http://dx.doi.org/10.1111/j.1479-828x.1999.tb03464.x.

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Dabariya, Deepa, and Shobha Naidu. "Effectiveness of Acupressure on Knee and Hip Joint Pain Management among Old Age group." International Journal of Nursing Education 9, no. 4 (2017): 23. http://dx.doi.org/10.5958/0974-9357.2017.00091.5.

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Journal articles on the topic 'Pain in old age'

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